Since research off authoritative scientific statistics is actually influenced by the latest population’s readiness to get medical help, a inside the-breadth image of the fresh new reproductive fitness of your own people away from Yakutia has to take several factors into account: cultural provider, host to provider, entry to from medical functions. This study is actually conducted with that mission in your mind.

Chapter dos. Material and methods

You will find selected 3 first topics to review: pinpointing features and you may determining affairs of reproductive health insurance and actions inside the teenage girls and you will feminine off reproductive age; determination away from local-, ethnicity- and you may decades-relevant items affecting and you will impacting breeding on the adolescent age; execution and you can assessment of treatments designed to improve the reproductive wellness off teenage girls and you will feminine of reproductive years, and decrease reproductive loss in Yakutia.

Employing agree, a supplementary gynaecologic test is actually did into girls that have a past away from sexual passion

This study is actually carried out in the medical care and you can informative organizations in the city off Yakutsk, the newest communities away from Sayylyk (Ust-Yansky area), Olenek (Allaikhovsky region), Berezovka (Srednekolymsky region), Andryushkino and Kolymskoe (Nizhnekolymsky part). A total of 578 women had been examined, including 476 regarding native Yakuts and Evenks.

A group of 318 teenage girls is hired whenever you are to present having program bodily examinations into the structured teams. Such girls have been 8–11th graders off colleges in town from Yakutsk and analysis communities. First- and you will second seasons children out-of Yakutsk Condition School plus took part. The study players was indeed divided in to step three organizations:

Category We: 102 players out of European supply, born and you will surviving in Yakutia, composed of fifty younger girls and you will adolescent girls, and you may 52 female of reproductive many years;

Class II: 296 professionals regarding Yakut ethnicity, consisting of 186 younger girls and you can adolescent girls, and you can 110 women from reproductive decades; and you will

Group III: 180 players out-of Evenk ethnicity, comprising 82 girls and you can adolescent girls, and you can 98 feminine out of reproductive many years.

The individual pointers questionnaire included basic market guidance and you can relevant medical and you may public background, which have special-interest on the pursuing the industries:

The brand new bodily test is carried out in a clinic means on room temperature. Many different anthropometric indicators have been filed, and height and you can pounds, body mass index, resting height, boobs circumference, neck depth, base size (on greater trochanter into flooring) and you may pelvic proportions.

The fresh new phase from sexual advancement was computed based on the Tanner Approach (92), as the altered because of the Skorodok (93). Pelvic size was basically counted having a gynaecologic pelvimeter, having fun with standardized steps. Non-gynaecologic issues was identified having fun with a particularly set-up techniques merging scientific, laboratory and practical degree.

Regarding the presence out of certain grievances with agree, girls with no reputation for sexual interest underwent recto-intestinal examination of new pelvis Balinese seksi Еѕene.

All the customers underwent ultrasound by using the ALOKA-1700 which have an excellent 3.5 MHz abdominal transducer and a beneficial six.5 MHz genital transducer. However they were checked utilizing the Voluson – 730 Professional V making use of the IC5-9H?GIN and you may RAB2-5?OB transducers.

Next were checked: the new cervix, endocervical thickness and you can homogeneity, the position, size and shape of your womb while the state of one’s endo- and myometrium. Personality and you may diagnosis of one’s after the conditions is actually emphasized: endometrial hyperplasia, chronic endometritis, adenomyosis, uterine fibroids. Players was in fact examined to have signs and symptoms of tenderness of one’s uterine adnexa and you can exposure of adhesive process throughout the hips. The ovaries was in fact along with checked out to own proportions, updates and you will presence or absence of folliculogenesis. Folliculogenesis try analyzed by the ultrasound monitoring of the quantity and size from follicles, and also the density of your endometrium in all read monthly period schedules.

Ovarian reserve are mentioned from the counting exactly how many antral hair follicles smaller than 10 mm in the diameter using ultrasonography into time 2–3 of one’s period. According to the level of hair follicles, professionals was in fact categorized due to the fact with: